The URL can be used to link to this page

Home My WebLink About2013-00956 - siding CITY OF ORONO * 2 PJ 1 3 - 0 0 9 5 6 * - ' 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2255 BLAINE AVE PIN : 17-117-23-34-0023 LEGAL DESC : NAVARRO : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: RESIDE APPLICANT PERMIT FEE SCHEDULE 191.75 ROYALTY REMODELERS STATE SURCHARGE(VALUATION) 5.00 3062 ]21STAVENW COON RAPIDS, MN 55433- TOTAL 196.75 (6l2)414-8199 Minnesota State License#: BC274044 OWNER CAMERON, SUSAN M 11912 L1VE OAK DR MINNETONKA, MN 55305- AGREEMENT AND SWORN STATEMENT Che work for which this permit is issued shall be performed accordin�to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate perniits. All provisions of laws and ordinances goveming this type of work shall be compied�vith whether or not specified herein.'rhis permi[wili expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. .,�� L I %�.� . � � i� � � 3 �f � � � Ap c nt Permitee Signature Date Issued y Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono Buitding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: " / �-G�' PO Box 66 Crystal Bay, MN 55323-0066 Date received: �-/� —� Street Address: Received by: y�, ` 2750 Kelley Parkway Plan review fee: �,�' Orono, MN 55356 � tqkESH OR -- Total Fee: �'� � �� ,�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �-, , �/a. � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approva/60 days pnor to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-perntitted events will not be allowed. CONTRACTOR/AP LICANT INFORMATION: Name: �t; `�� /�"7 �f,M c�,� �/ r -'� State License#�`�� y� yy Expiration Date: :J-�);- ',"�� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) C �"� - y/�/- �/�j�l (office) G S �- `(��-l`�'6 � Mailin Address: - • " s"r Cit � . '� ZIP: �',S ,�� 9 _ _.__ <)�" J� ;.G Y� �-b� v l'•� � Contact Person: �e Applicant is: on racto` / Homeowner (Circle One) Email and/or Fax: �{/+ ,,�� m ,,�r��,fv ��:� ,,,�. ��„�, � PROPERTY OWNER INFORMATION: Name: lJU�,,c C�,e S� -- �� G �Gt✓�'+ e�'o�1 Phone (day): ��[;�- 6 y �_ y 3�S Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: � c�� e "/G � ��. „� �- (f;� �� -�-�s"�G/l Type of Project: Any earth move ent may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952�71-0590 ❑ Re-roof, other(specify) �Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ / U,��c c r, APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: v�`/�?�� Date: �"' �b -�.� � Owner's Signature: Date: Last Updated:03/06/2013 DATE TIME � � � ad�� - / � CITY OF ORONO CALLED IN / '� INSPECTION N TI E SCHEDULED -� � PERMIT NO —� co ED ADDRESS OWNER � �- � LEPH NOL�-�a'�� g'/ CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKES RENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � j � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. � _ _ _ __ White Copyllnspector's File Canary CopylSite Notice